NPI age
19 years
Enumerated 2006-08-13
● Active Type 2 · Organization
Subpart
Pocatello Children & Adolescent Clinic
Pocatello Children & Adolescent Clinic is 1 of 252 pediatrics organizations in Idaho.
Primary specialty
Pediatrics
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Perry
Administrator
Last NPPES update
2026-04-22
Source: monthly bulk 2026-05
How this organization compares
Across 252 active pediatrics providers in Idaho.
NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-08Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
1151 Hospital Way Bldg F
Pocatello, ID 832015091
Mailing address
1151 Hospital Way Bldg F
Pocatello, ID 832015091
Authorized official
Jessica Perry
Administrator
📞 2082369600
Individual providers at this organization
4 individual providers on file at this primary practice address.
- David Larsen, M.D. Pediatrics NPI 1932527827
- Alison McInturff, M.D. Pediatrics NPI 1346507845
- Joshua Pulliam, PNP-PC Nurse Practitioner NPI 1073485041
- Matthew Stelzer, MD Pediatrics NPI 1609844471
Specialties
-
Pediatrics PrimaryA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 002601400 |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Pocatello Children's Clinic
Practice context
Multi-provider organization. 4 individual providers on file at this primary address.
Subpart of Pocatello Children'S Clinic.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.